[en] Purpose. Firstly, to examine whether heart rate (HR) can be predicted based on the Borg-scale for perceived exertion in patients with chronic low back pain (CLBP) and secondly, to assess changes in HR, Borg-scores and workload to study the relevance of a stepwise increase of workload based on the Borg-score and HR. Methods. Ninety-nine patients with CLBP and a mean disability-score (Roland Morris Disability Questionnaire) of 13.8 (SD = 3.7) participated in a 10-week aerobic training programme (20 min, 3 times/week). HR, ratings of perceived exertion (RPE), and workload were monitored. Prior to treatment, patients completed questionnaires on pain, disability, and several psychological factors (catastrophizing, kinesiophobia, and depression). Results. The original Borg-equation (i.e. 'HR = Borg x 10') appears accurate in predicting HR on a group-level. Pain-related and psychological factors were not significantly related to the accuracy of the Borg equation. Whereas mean workload increased significantly (from 93.8 (SD = 29.9) to 129.5 W (SD = 39.7), p < 0.001) throughout the training programme, HR increased only slightly (from 130.2 (SD = 13.5) to 139.2 (SD = 13.9) bpm; p < 0.001) and Borg-scores remained stable (from 13.2 (SD = 1.9) to 13.3 (SD = 1.8); p = 0.48). Conclusions. The capability of the Borg-scale to accurately predict HR appears moderate. However combined with measuring HR, it results in a relevant and efficient method for training CLBP patients in clinical practice.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Demoulin, Christophe ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie spécifique et réadaptation motrice
Verbunt, Jeanine A; CAPHRI - Maastricht University
Winkens, Bjorn; Universiteit Maastricht > Methodology and Statistics
Knottnerus, J Andre; CAPHRI
Smeets, Rob J; CAPHRI - Maastricht University
Language :
English
Title :
Usefulness of perceived level of exertion in patients with chronic low back pain attending a physical training programme.
scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.
Bibliography
Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber- Moffett J, Kovacs F, Mannion AF, Reis S, Staal JB, Ursin H, Zanoli G. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006;15(Suppl 2):S192-S300.
Protas E. Aerobic exercise in the rehabilitation of individuals with chronic low back pain: a review. Crit Rev Phys Rehabil Med 1996;8:283-295.
Gretebeck RJ, Montoye HJ, Ballor D, Montoye AP. Comment on heart rate recording in field studies. J Sports Med Phys Fitness 1991;31:629-631.
Borg E, Kaijser L. A comparison between three rating scales for perceived exertion and two different work tests. Scand J Med Sci Sports 2006;16:57-69.
Borg G. Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med 1970;2:92-98.
Chen MJ, Fan X, Moe ST. Criterion-related validity of the Borg ratings of perceived exertion scale in healthy individuals: a meta-analysis. J Sports Sci 2002;20:873-899.
Borg G, Hassmen P, Lagerstrom M. Perceived exertion related to heart rate and blood lactate during arm and leg exercise. Eur J Appl Physiol Occup Physiol 1987;56:679-685.
Zeni AI, Hoffman MD, Clifford PS. Relationships among heart rate, lactate concentration, and perceived effort for different types of rhythmic exercise in women. Arch Phys Med Rehabil 1996;77:237-241.
Hall EE, Ekkekakis P, Petruzzello SJ. Is the relationship of RPE to psychological factors intensity-dependent? Med Sci Sports Exerc 2005;37:1365-1373.
Morgan WP. Psychological components of effort sense. Med Sci Sports Exerc 1994;26:1071-1077.
Dunbar CC, Robertson RJ, Baun R, Blandin MF, Metz K, Burdett R, Goss FL. The validity of regulating exercise intensity by ratings of perceived exertion. Med Sci Sports Exerc 1992;24:94-99.
Weiser PC, Wojciechowicz V, Funck A, Robertson RJ. Perceived effort step-up procedure for self-regulating stationary cycle exercise intensity by patients with cardiovascular disease. Percept Mot Skills 2007;104:236-253.
Garcin M, Wolff M, Bejma T. Reliability of rating scales of perceived exertion and heart rate during progressive and maximal constant load exercises till exhaustion in physical education students. Int J Sports Med 2003;24:285-290.
Ozkan A, Kin-Isler A. The reliability and validity of regulating exercise intensity by ratings of perceived exertion in step dance sessions. J Strength Cond Res 2007;21:296-300.
Eston RG, Davies BL, Williams JG. Use of perceived effort ratings to control exercise intensity in young healthy adults. Eur J Appl Physiol Occup Physiol 1987;56:222-224.
Glass SC, Knowlton RG, Becque MD. Accuracy of RPE from graded exercise to establish exercise training intensity. Med Sci Sports Exerc 1992;24:1303-1307.
Kang J, Chaloupka EC, Mastrangelo MA, Donnelly MS, Martz WP, Robertson RJ. Regulating exercise intensity using ratings of perceived exertion during arm and leg ergometry. Eur J Appl Physiol Occup Physiol 1998;78:241-246.
Marriott HE, Lamb KL. The use of ratings of perceived exertion for regulating exercise levels in rowing ergometry. Eur J Appl Physiol Occup Physiol 1996;72:267-271.
ACSM. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in healthy adults. Med Sci Sports Exerc 1990; 22:265-274.
Dishman RK. Prescribing exercise intensity for healthy adults using perceived exertion. Med Sci Sports Exerc 1994;26: 1087-1094.
Klaber Moffett J, Frost H. The Back to fitness programme: the manual for physiotherapists setting up exercise classes. Physiotherapy 2000;86:295-305.
Dawes HN, Barker KL, Cockburn J, Roach N, Scott O, Wade D. Borg's rating of perceived exertion scales: do the verbal anchors mean the same for different clinical groups? Arch Phys Med Rehabil 2005;86:912-916.
Borg GA. Perceived exertion: a note on "history"and methods. Med Sci Sports 1973;5:90-93.
Barker KL, Dawes H, Hansford P, Shamley D. Perceived and measured levels of exertion of patients with chronic back pain exercising in a hydrotherapy pool. Arch Phys Med Rehabil 2003;84:1319-1323.
Wallbom AS, Geisser ME, Haig AJ, Yamakawa K, Montgomery D. Concordance between rating of perceived exertion and function in persons with chronic, disabling back pain. J Occup Rehabil 2002;12:93-98.
Smeets RJ, Vlaeyen JW, Hidding A, Kester AD, van der Heijden GJ, van Geel AC, Knottnerus JA. Active rehabilitation for chronic low back pain: cognitive-behavioral, physical, or both? First direct post-treatment results from a randomized controlled trial [ISRCTN22714229]. BMC Musculoskelet Disord 2006;7:5.
Bolton JE. Accuracy of recall of usual pain intensity in back pain patients. Pain 1999;83:533-539.
Huskisson EC. Measurement of pain. Lancet 1974;2:1127-1131.
Gommans H, Koes B, Van Tulder M. Validiteit en responsiviteit: Nederlandstalige Roland Disability Questionnaire. Ned T Fys 1997;2:28-33.
Roland M, Morris R. A study of the natural history of back pain. Part I: Development of a reliable and sensitive measure of disability in low-back pain. Spine 1983;8:141-144.
Sullivan M, Bishop S, Pivik J. The pain catastrophising scale: development and validation. Psychol Assess 1995;7:524-532.
Van Damme S, Crombez G, Bijttebier P, Goubert L, Van Houdenhove B. A confirmatory factor analysis of the pain catastrophizing scale: invariant factor structure across clinical and non-clinical populations. Pain 2002;96:319-324.
Goubert L, Crombez G, Vlaeyen J, Van Damme S, Van den Broeck A, Van Houdenhove B. De Tampa schaal voor Kinesiofobie: psychometrische karakteristieken en normering. Gedrag en Gezondheid 2000;28:54-62.
Vlaeyen JW, Kole-Snijders AM, Boeren RG, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain 1995;62:363-372.
Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-571.
Van der Does AJW. BDI-II-NL handleiding: De nederlandse versie van de beck depression inventory. 2nd ed., Dutch BDIII Manual. Amsterdam, Harcourt; 2002.
Hodselmans AP, Dijkstra PU, Geertzen JH, van der Schans CP. Exercise capacity in non-specific chronic low back pain patients: a lean body mass-based astrand bicycle test; reliability, validity and feasibility. J Occup Rehabil 2008;18: 282-289.
Vos J. Ergometrie en trainingsbegeleiding. Amersfoort, The Netherlands: Nederlands Paramedisch Instituut; 2004.
ACSM. ACSM position stand on the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in adults. Med Sci Sports Exerc 1998;30:975-991.
Karvonen M, Kentala K, Mustala O. The effects of training heart rate: a longitudinal study. Ann Med Exp Biol Fenn 1957;35:307-315.
Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986;1:307-310.
Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc 1982;14:377-381.
Capodaglio P. The use of subjective rating of exertion in Ergonomics. G Ital Med Lav Ergon 2002;24:84-89.
Garcin M, Vautier JF, Vandewalle H, Monod H. Ratings of perceived exertion (RPE) as an index of aerobic endurance during local and general exercises. Ergonomics 1998;41: 1105-1114.
O'Neill ME, Cooper KA, Mills CM, Boyce ES, Hunyor SN. Accuracy of Borg's ratings of perceived exertion in the prediction of heart rates during pregnancy. Br J Sports Med 1992;26:121-124.
Whaley MH, Brubaker PH, Kaminsky LA, Miller CR. Validity of rating of perceived exertion during graded exercise testing in apparently healthy adults and cardiac patients. J Cardiopulm Rehabil 1997;17:261-267.
Doherty M, Smith PM, Hughes MG, Collins D. Rating of perceived exertion during high-intensity treadmill running. Med Sci Sports Exerc 2001;33:1953-1958.
Morgan WP. Psychological factors influencing perceived exertion. Med Sci Sports 1973;5:97-103.
Pincus T, Vlaeyen JW, Kendall NA, Von Korff MR, Kalauokalani DA, Reis S. Cognitive-behavioral therapy and psychosocial factors in low back pain: directions for the future. Spine 2002;27:E133-E138.
Hill DW, Cureton KJ, Grisham SC, Collins MA. Effect of training on the rating of perceived exertion at the ventilatory threshold. Eur J Appl Physiol Occup Physiol 1987;56:206-211.
Wennemer HK, Borg-Stein J, Gomba L, Delaney B, Rothmund A, Barlow D, Breeze G, Thompson A. Functionally oriented rehabilitation program for patients with fibromyalgia: preliminary results. Am J Phys Med Rehabil 2006;85: 659-666.
Kilpatrick MW, Kraemer RR, Quigley EJ, Mearsi JL, Powers JM, Dedea AJ, Ferrer NF. Heart rate and metabolic responses to moderate-intensity aerobic exercise: a comparison of graded walking and ungraded jogging at a constant perceived exertion. J Sports Med 2009;27:509-516.
Siegel D, Johnson J. A preliminary study of pacing in cycling. JSB 1992;15:75-86.
Similar publications
Sorry the service is unavailable at the moment. Please try again later.
This website uses cookies to improve user experience. Read more
Save & Close
Accept all
Decline all
Show detailsHide details
Cookie declaration
About cookies
Strictly necessary
Performance
Strictly necessary cookies allow core website functionality such as user login and account management. The website cannot be used properly without strictly necessary cookies.
This cookie is used by Cookie-Script.com service to remember visitor cookie consent preferences. It is necessary for Cookie-Script.com cookie banner to work properly.
Performance cookies are used to see how visitors use the website, eg. analytics cookies. Those cookies cannot be used to directly identify a certain visitor.
Used to store the attribution information, the referrer initially used to visit the website
Cookies are small text files that are placed on your computer by websites that you visit. Websites use cookies to help users navigate efficiently and perform certain functions. Cookies that are required for the website to operate properly are allowed to be set without your permission. All other cookies need to be approved before they can be set in the browser.
You can change your consent to cookie usage at any time on our Privacy Policy page.
